DO SURGERY PATIENTS KNOW THEIR MEDICINES?

Abstract

Aim: A descriptive research was conducted for determination of knowledge and practices of medication use of elderly patients hospitalized in surgical clinics. The sample consisted of 128 patients over 60 years old, hospitalized at Hacettepe University Adult Hospital Neurosurgery, General Surgery, Thoraco/Cardio/Vascular Surgery and Urology departments. Methods: For data collection, a questionnaire prepared by the researcher based on the literature was used. The data was collected by the researcher at two stages with face-to-face and telephone interviews. For evaluation of the data, percentages, McNemar and Cohran Q tests were used. Results: The frequency of visits to the physicans/medical facilities were 1.8±1.7 times per year.  Mean prescription rate per year from those visits was 16.4±1.8. Rate of use of over the counter medicines was 22.7%, use of herbal medicines was 25% and irregular use of medicines was 16.4%. Within the participiants that had not been using medicines regularly (16.4%); the most common reason for not using medicines regularly was “problems experienced because of medicines” (38.7%). Conclusion: According to the results of this study; the characteristics which could be the reasons of unrational drug use were seen about quarter of elder participiants. 

Keywords

• geriatric nursing,perioperative nursing,drug toxicity,elder

CERRAHİ KLİNİKLERİNDE YATAN YAŞLI HASTALARIN İLAÇLARINA YÖNELİK BİLGİ VE UYGULAMALARINI ETKİLEYEBİLECEK ÖZELLİKLERİ

Abstract

Amaç: Araştırma; cerrahi kliniklerinde yatan yaşlı hastaların ilaç kullanımlarını  etkileyebilecek bilgi ve uygulamalarının belirlenmesi amacıyla tanımlayıcı olarak yapılmıştır. Örneklemi Hacettepe Üniversitesi Erişkin Hastanesi’nin Beyin Cerrahi, Genel Cerrahi, Toraks/Kalp/Damar Cerrahi ve Üroloji kliniklerinde yatan 60 yaş ve üzeri 128 hasta oluşturmuştur. Yöntem: Veri toplama aracı olarak, araştırmacı tarafından ilgili literatüre doğrultusunda geliştirilen soru formu kullanılmıştır. Veriler araştırmacı tarafından, yüz yüze görüşme yöntemi ile toplanmıştır. Verilerin değerlendirilmesinde yüzde hesaplamaları, McNemar ve CohranQ testleri kullanılmıştır. Bulgular: Araştırmaya katılan hastaların bir yılda ortalama 1.8±1.7 kere hekime/sağlık kuruluşuna başvurduğu ve kendilerine ortalama 16.4±1.8 reçete yazıldığı; %22.7’sinin reçetesiz ilaç, %25’inin bitkisel ürün kullandığı, %16.4’ünün ilaçlarını düzenli kullanmadığı belirlenmiştir. İlaçlarını düzenli kullanmadığını belirten hastaların (%16.4) yaklaşık üçte biri (%38.7) ilaçlarını düzenli kullanmama sebebi olarak “ilaç kullanımı nedeniyle yaşanan sorunlar” ı göstermiştir. Sonuç: Bu çalışmadan elde edilen bulgular doğrultusunda; ilaçların akılcı ilaç kullanımı (AİK) ilkelerine uygun kullanılmalarını engelleyebilecek özelliklerin, yaşlı hastaların yaklaşık dörtte birinde görüldüğü saptanmıştır.

Keywords

• geriatri hemşireliği,perioperatif hemşirelik,ilaç toksisitesi,yaşlı

References

1. Akıcı A, Uğurlu M Ü, Gönüllü N, Oktay Ş, & S., K. (2002). Evaluating the knowledge and attitudes of general practitioners about rational drug use. STED, 253-257.
2. Akın, B., Seviğ, Ü., & Karataş, N. (2001). Gerontological nursing education in Turkey (1): an education programme development study for certificate-the foundations of programme. C.Ü. Hemşirelik Yüksekokulu Dergisi, 5(1), 33-39.
3. Araz A, Harlak H, & G., M. (2007). Health behaviours and alternative therapy use. TSK Koruyucu Hekimlik Bülteni, 6(2), 112-122.
4. Arslan, G. G., & Eşer, İ. (2005a). The effect of education given on drug usage adaptation in the elderly. Turkish Journal of Geriatrics, 8(3), 134-140.
5. Arslan, G. G., & Eşer, İ. (2005b). Self-medication compliance in elderly and nurses’ role. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi, 21(2), 147-157.
6. Atlı, K., & Boncuk, N. A. (2002). Telemore and cellular aging. Turkish Journal of Geriatrics, 5(3), 111-114.
7. Bilgili, N., & Karatay, G. (2005). Determination of some practices about drug consumption of ındividuals living ın Sait Yazıcı Health Center Area. Hacettepe Üniversitesi Hemsirelik Yüksekokulu Dergisi., 12(1), 39-48.
8. Björkman, I. (2006). Towards Improved Medication Use: Increasing Understanding of Professional Efforts. (doctorate), Uppsala University. Retrieved from https://www.diva-portal.org/smash/get/diva2:169301/FULLTEXT01.pdf

9. C, H. L., & A., C. (2011). The Pharmacist’s New Role as Part of an Interdisciplinary Care Team. The Pharmacist’s New Role, 35(4), 62-68.
10. Demirol, A., Bozdağ, G., Kart, C., & Gürgan, G. (2006). Physiology and related theories of aging. Turkish Journal of Geriatrics, 9(4), 250-255.
11. Dökmeci, D. (2006). polypharmacy in elderly and toxicity. Türkiye Klinikleri J Surg Med Sci, 2(46), 53-58.
12. Erdil, F. (2007). Nurses-pharmacists cooperation for drug use in elders . Geriatri ve Gerontoloji (pp. 139-146). Ankara: Fersa Matbaacılık.
13. Ertemür, E., & Erdil, F. (2012). Determination of knowledge and practices of medication use of elderly patients hospitalized at surgical units. Turkish Journal of Geriatrics, 15(2), 201-207.
14. Green, J., Hawley, J., & Rask, K. (2007). Is the Number of Prescribing Physcians an Iindependent Risk Factor for Adverse Drug Events in an Elderly? American Journal of Geriatric Pharmacotherapy, 5(1), 31-39.
15. Hardon, A., Hodgkin, C., & Fresle, D. (2004). How to Investigate the Use of Medicines by Consumers? http://www.who.int/drugresistance/Manual1_HowtoInvestigate.pdf. Retrieved from
16. J, L., H, P. B., & W., C. P. (1998). Incidence of Adverse Drug Reactions in Hospitalized Patients: a Metaanalysis of Prospective Studies. JAMA, 279(15), 1200-1205.
17. Kabalak, A. U. (2002). herbal medicine and anaesthasia risks. Anestezi Dergisi, 10(2), 75-82.
18. Kanpolat, Y. (2003). Vision 2023. technology foresight project health and medicine panel Final Report. http://www.tubitak.gov.tr/tubitak_content_files/vizyon2023/si/EK-21.pdf. Retrieved from
19. M., B. (2004). Enhancing Older People's Concordance with Taking Their Medication. British Journal of Nursing, 13(11), 669-674.
20. Mallet, L., Spinewine, A., & Huang, A. (2007). Prescribing in Elderly People 2: The Challenge of Managing Drug Interactions in Elderly People. Lancet, 379(9582), 185-191.
21. Nations, U. (2002). Political Declaration and Madrid International Plan of Action on Aging. Retrieved from http://www.un.org/en/events/pastevents/pdfs/Madrid_plan.pdf.
22. O'Neill, G., & Barry, P. P. (2000). Training Physicians in Geriatric Care: Responding to Critical Need. Public Policy and Aging Report, 13(2), 17-21.
23. Oktay, S., & Akıcı, A. (2001). Drug use and decision makıng process for rational pharmacotherapy in elderly. Turkish Journal of Geriatrics, 4(3), 127-133.
24. Orhaner, E. (2006). health care financing and general health ınsurance in Turkey . Ticaret ve Turizm Eğitim Fakültesi Dergisi(1), 1-22.
25. Rai, J. (2005). Popularity of Herbal Drugs -A Challenge to Rational Practice (Time to Amend Undergraduate Curriculum). JK Science, 7(3), 180.
26. Rothschild, J. M., Leape, L. L., & Smith, A. H. (2000). The Nature and Extent of Medical Injury in Older Patients: Executive Summary. Retrieved from http://assets.aarp.org/rgcenter/health/2000_17_injury.pdf
27. Şahin, G., & Baydar, T. (2004). Drug use in elders. . In Y. G. Kutsal (Ed.), Yaşlılık Gerçeği (pp. 47-55). Ankara: GEBAM.
28. Warshaw, G. (2006). Introduction: Advances and Challenges in Care of Older People with Chronic Illness. Generations, 30(3), 5-10.
29. World Health Organization, M. M. F. (2000). Towards an international consensus on policy for long-term care of the ageing. Retrieved from http://apps.who.int/iris/handle/10665/66339.